healthcosts.net
Esophagomyotomy abdominal 43330 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$1,743.95
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$2,683.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $4,588.66 with Anthem — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Oscar | All Products | $681.75 | ↓ -61% |
| Optum | Managed Medicaid Transplant | $751.16 | ↓ -57% |
| Buckeye | Managed Medicaid | $790.69 | ↓ -55% |
| Summacare | Medicare Advantage Lower Level | $828.50 | ↓ -52% |
| United | Managed Medicaid | $830.22 | ↓ -52% |
| Caresource | Managed Medicaid | $830.22 | ↓ -52% |
| Molina | Managed Medicaid | $869.76 | ↓ -50% |
| AmeriHealth | Managed Medicaid | $869.76 | ↓ -50% |
| Summacare | Medicare Advantage Psych | $922.92 | ↓ -47% |
| OHCP | All Products | $1,043.69 | ↓ -40% |
| Summacare | Medicare Advantage CNA | $1,083.42 | ↓ -38% |
| Summacare | Medicare Advantage MD | $1,210.88 | ↓ -31% |
| Optum | Medicare Advantage Transplant | $1,230.56 | ↓ -29% |
| Aetna | Medicare Advantage | $1,230.56 | ↓ -29% |
| Anthem | Medicare Advantage | $1,230.56 | ↓ -29% |
| Humana | Medicare Advantage HMO | $1,230.56 | ↓ -29% |
| The Health Plan | All Products | $1,230.56 | ↓ -29% |
| The Health Plan | Medicare Advantage | $1,230.56 | ↓ -29% |
| United | Medicare Advantage | $1,230.56 | ↓ -29% |
| Valor | All Products | $1,230.56 | ↓ -29% |
| CommuniCare | Medicare Advantage | $1,292.09 | ↓ -26% |
| Aultcare | PPO/HMO | $1,325.40 | ↓ -24% |
| OMAS | All Products | $1,341.50 | ↓ -23% |
| PPHP | All Products | $1,353.62 | ↓ -22% |
| Optum | All Products Transplant | $1,564.19 | ↓ -10% |
| PHPHI | All Products | $1,609.80 | ↓ -8% |
| Anthem | All Products Mid-Level Facility | $1,806.70 | ↑ +4% |
| Anthem | All Products Mid-Level Non-Facility | $1,806.70 | ↑ +4% |
| GMS | All Products | $1,878.10 | ↑ +8% |
| MMO | Traditional | $1,878.10 | ↑ +8% |
| Consociate Health | All Products | $2,012.25 | ↑ +15% |
| Aetna | All Products First Health | $2,012.25 | ↑ +15% |
| Aetna | Asa | $2,146.40 | ↑ +23% |
| MMO | Medicare HMO & PPO | $2,287.57 | ↑ +31% |
| MMO | SuperMed | $2,300.93 | ↑ +32% |
| MMO | NASCO | $2,300.93 | ↑ +32% |
| Multiplan | All Products | $2,414.70 | ↑ +38% |
| Summacare | Preferred | $2,510.34 | ↑ +44% |
| Summacare | Premier | $2,600.20 | ↑ +49% |
| Aetna | Qhp/Ifp | $2,683.00 | ↑ +54% |
| United | HMO & PPO | $3,328.41 | ↑ +91% |
| United | All Products - Mid-Level | $3,657.34 | ↑ +110% |
| OPTUM | Managed Medicaid Transplant | $3,788.70 | ↑ +117% |
| United | All Products | $3,941.89 | ↑ +126% |
| CARESOURCE | Managed Medicaid | $3,988.10 | ↑ +129% |
| MOLINA | Managed Medicaid | $4,187.51 | ↑ +140% |
| UNITED | Managed Medicaid | $4,187.51 | ↑ +140% |
| ANTHEM | Managed Medicaid | $4,187.51 | ↑ +140% |
| United BH | Managed Medicaid | $4,227.39 | ↑ +142% |
| AMERIHEALTH | Managed Medicaid | $4,386.91 | ↑ +152% |
| Anthem | All Products Physician Facility | $4,588.66 | ↑ +163% |
| Anthem | All Products Physician | $4,588.66 | ↑ +163% |
| Anthem | All Products Physician Non-Facility | $4,588.66 | ↑ +163% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Esophagomyotomy abdominal 43330 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $5,769.40 | $1.10 – $7,988.40 |
| mercy hospital | Canton | $1,743.95 | $1.10 – $4,280.97 |
| avon hospital | Avon | not published | $4,063.30 – $4,140.70 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $6,633.90 – $7,681.36 |
| euclid hospital | Euclid | not published | $4,162.96 – $4,820.27 |
| fairview hospital | Cleveland | not published | $3,910.89 – $4,528.40 |
| lutheran hospital | Cleveland | not published | $3,723.30 – $4,311.19 |
| hillcrest hospital | Mayfield Heights | not published | $4,074.53 – $4,717.88 |